Name of the Procedure:

Face-to-face Behavioral Counseling for Obesity, Group (2-10), 30 minutes (HCPCS Code: G0473)

Summary

This is a structured counseling session designed to address obesity, conducted in a group setting with 2 to 10 participants. The session lasts 30 minutes and involves discussing behavioral strategies to help manage and reduce obesity.

Purpose

Medical Conditions: Obesity and its associated health risks such as diabetes, heart disease, and hypertension. Goals/Outcomes:

• Promote weight loss.
• Enhance understanding of healthy behaviors.
• Provide psychological support.
• Encourage long-term adherence to lifestyle changes.

Indications

Symptoms/Conditions:

• Patients with a Body Mass Index (BMI) ≥ 30.
• Individuals struggling with weight management and related comorbid conditions. Patient Criteria:
• Adult patients willing to participate in group counseling.
• Patients without contraindications for behavior therapy.

Preparation

Pre-procedure Instructions:

• No specific fasting or medication adjustments needed.
• Patients should bring a notepad and a pen for notes. Diagnostic Tests:
• Recent BMI measurement from a primary care visit.
• Optional: Blood work to assess related health conditions.

Procedure Description

Step-by-Step:

1. Introduction: Counselor explains the purpose and structure of the session.
2. Discussion: Cover topics such as healthy eating habits, physical activity, and cognitive-behavioral strategies.
3. Group Interaction: Share experiences and strategies among participants.
4. Goal Setting: Participants set realistic and achievable weight-loss goals.
5. Conclusion: Summarize the key points discussed and provide additional resources.

Tools/Equipment:

• Educational materials (pamphlets, handouts).
• Weight and height measuring tools (if needed for a follow-up session).

Anesthesia/Sedation: Not applicable.

Duration

The procedure typically takes 30 minutes.

Setting

The counseling session is performed in an outpatient clinic or wellness center.

Personnel

• Primary: Licensed behavioral counselor, dietitian, or healthcare provider specialized in weight management.
• Supportive: Occasionally, a nurse or assistant may help facilitate the session.

Risks and Complications

Common Risks:

• Mild discomfort or embarrassment when discussing weight.
• Emotional distress when sharing personal challenges.

Rare Risks:

• Social anxiety exacerbation. Management: Counselors provide emotional support and refer to individual therapy if needed.

Benefits

• Expected Benefits: Improved knowledge of weight management techniques, social support, and motivation.
• Realization Timeline: Benefits may be noticed within a few weeks to months with regular participation.

Recovery

Post-procedure Care:

• Review and maintain a personal health diary.
• Follow-up appointments for continuous support and reassessment. Recovery Time: Not applicable.

Restrictions: None, but patients are encouraged to implement discussed strategies immediately.

Alternatives

Other Treatment Options:

• Individual counseling sessions.
• Medication for weight loss.

• Bariatric surgery (for severe cases).

  Pros/Cons:

• Group Counseling: Provides social support but less personalized.
• Individual Counseling: More personalized but potentially more expensive.
• Medications/Surgery: More effective for significant weight loss but come with higher risks and costs.

Patient Experience

During the Procedure:

• Patients may experience a mix of emotions such as hope, apprehension, and motivation. After the Procedure:
• Generally positive feelings of support and understanding.
• Minor discomfort related to sharing personal information. Pain Management: Not applicable, but emotional support is provided to ensure comfort.